The Calcium-Sensing Receptor and the Parathyroid: Past, Present, Future.

The Calcium-Sensing Receptor and the Parathyroid: Past, Present, Future.
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DOI:
10.3389/fphys.2016.00563
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发表时间:
2016
影响因子:
4
通讯作者:
Conigrave AD
Conigrave AD
中科院分区:
医学2区
文献类型:
--
作者:
Conigrave AD

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甲状旁腺激素(PTH)保护细胞外液免受低钙血症的影响,并对骨骼和肾小管系统具有强大的作用。为了获得令人满意的稳定血浆钙水平,通过介导PTH分泌反馈抑制的Ca2+感应机制,将PTH分泌和所得血清PTH水平小心滴定至占优势的血浆离子化Ca2+浓度。在此,我认为甲状旁腺Ca2+传感机制的属性,身份的Ca2+传感器,细胞内的生化机制,它控制,其整合的方式与其他组成部分的PTH分泌控制机制,其调制由其他营养素。共同建立的,最近阐明的,尚未发现的故事元素构成了甲状旁腺及其钙敏感受体(CaSR)的过去,现在和未来。
Parathyroid hormone (PTH) defends the extracellular fluid from hypocalcemia and has powerful and well-documented actions on the skeleton and renal tubular system. To achieve a satisfactory stable plasma calcium level, the secretion of PTH, and the resulting serum PTH level, is titrated carefully to the prevailing plasma ionized Ca2+ concentration via a Ca2+ sensing mechanism that mediates feedback inhibition of PTH secretion. Herein, I consider the properties of the parathyroid Ca2+ sensing mechanism, the identity of the Ca2+ sensor, the intracellular biochemical mechanisms that it controls, the manner of its integration with other components of the PTH secretion control mechanism, and its modulation by other nutrients. Together the well-established, recently elucidated, and yet-to-be discovered elements of the story constitute the past, present, and future of the parathyroid and its calcium-sensing receptor (CaSR).
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